Acute Care at Home

This episode I am joined by matron for older adults Lee-Ann Boardman as she discusses the innovative diversional therapist that have been piloted at UHNM. The team are focussed on improving patient experiences whilst being on the elderly care wards. The team have been recognised locally at UHNMs Night Full of Stars winning clinical team of the year as well as nationally winning the Patient Safety Pilot Project of the Year at the HSJ Patient Safety Awards. Listen all about the team and the impact they are having.

In this episode I am joined by Jacqueline Burczyk-Smith from the Heart Failure team. She talks about heart failure and the service she and her colleagues offer @UHNM. Host: Ian TyrrellProduced and edited by: Aimee Allen-Wood

In this episode I am joined by Jules and Annie from the Acute Care at Home team (@_VWNorth). They talk us through their virtual ward criteria, how they help people remain at home or to be discharged from hospital sooner. They talk through some of the challenges and also the amazing feedback showing how vital their service is in preventing unnecessary hospital admission but providing top quality care in a patients own home.

In this episode we are joined by Head of Nursing at County Hospital, Rebecca Ferneyhough as she talks us through the exciting application of the Johns Hopkins Activity and Mobility Programme. This project is aimed at reconditioning inpatients and preventing hospital acquired de-conditioning. Contributors: Ian Tyrrell (@IanTyrrell5), Rebecca Ferneyhough (@beckyish1). Edited by Aimee Allen-Wood.

Ian Tyrrell (ACP) and Dr Alice Holt (EM Consultant) are joined by RCEM credentialed ACP Erica Smith (@Erica_J_Smith) to talk about how to assess an older person who presents to an Emergency Department. They talk history taking, investigations and how to discharge someone safely. This episode is the last in the current series.  

Ian Tyrrell (ACP in Frailty) and Dr Alice Holt talk about frailty. They talk about frailty scoring, the geriatric giants and comprehensive geriatric assessment and if it is possible to complete in emergency departments.  Edited by Aimee Allen-Wood. Logo by David Belfit.  Like, share and subscribe if you like what you here. Follow us on twitter, faceebook or instagram @thelonglie1.

The team are once again joined by Dr Becky Chubb to talk about delirium. The talk involves describing the types of delirium, how to identify delirium and how to manage the symptoms of delirium.  Edited by Aimee Allen-Wood. Artwork by David Belfit. Follow us on @TheLongLie1 on Twitter.

In episode 5, Ian and Dr Alice Holt are joined by Dr Becky Chubb a consultant psychiatrist to talk about dementia. The talk focusses on trying to meet the needs of patients with dementia when they attend the Emergency Department.  Edited by Aimee Allen-Wood. Artwork by David Belfit. 

Inspired by a piece from the The Book About Getting Older by Dr Lucy Pollock, Dr Alice Holt, Dr Sarah Kelt, Dr Eleanor Cross and Ian Tyrrell explore how to approach having difficult conversations in regards to Respect documents and resuscitation. They explore how prepared they felt when first approaching these conversations and how they become easier after time. They also discuss the emotional burden that these conversations can have and the importance of self-care and good teamwork.  Edited by Aimee Allen-Wood. Artwork by David Belfit. 

In episode 3, Ian, Dr Sarah Kelt, Dr Alice Holt and Kim Selby talk through recognising the signs of a dying person in the emergency department. They discuss symptoms that patients may experience and briefly touch on how to treat them. They also talk about the local services available in the trust where they work and innovations that have been created since the beginning of the current pandemic.  Contributors: Ian Tyrrell -Advanced Clinical Practitioner in frailty (Physiotherapist) Dr Sarah Kelt - Consultant in Palliative Medicine Dr Alice Holt - Consultant in Emergency Medicine and clinical lead for frailty.  Kim Selby - Pharmacist in Emergency medicine and independent prescriber.  Edited by Aimee Allen-Wood Artwork- David Belfit.